Awareness and prevalence of mammography screening and its predictors--a cross sectional study in a primary care clinic in Malaysia
| Autor: | Yasmin Mohd Hasni, Yook Chin Chia, Azianey Yusof |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Cancer Research medicine.medical_specialty Health Knowledge Attitudes Practice Epidemiology Cross-sectional study Health Behavior MEDLINE Breast Neoplasms Logistic regression Breast cancer Surveys and Questionnaires medicine Prevalence Health belief model Mammography Humans Early Detection of Cancer Breast self-examination Aged Neoplasm Staging medicine.diagnostic_test business.industry Breast cancer awareness Public Health Environmental and Occupational Health Malaysia Breast Self-Examination Middle Aged medicine.disease Prognosis Cross-Sectional Studies Oncology Family medicine Physical therapy Female business Follow-Up Studies |
| Zdroj: | Asian Pacific journal of cancer prevention : APJCP. 15(19) |
| ISSN: | 2476-762X |
| Popis: | Background: Worldwide, over half a million women died of breast cancer in 2011 alone. Mammography screening is associated with a reduction of 20 to 35% in breast cancer mortality. The aim of this study was to determine the awareness and practice of mammography screening and predictors of its uptake in Malaysian women attending a primary care clinic. Materials and Methods: A cross-sectional study was carried out among women aged 40 to 74 years attending a primary care clinic in Selangor, Malaysia. An assisted structured questionnaire included questions on socio-demography, source of information and level of knowledge. An adapted version of the revised Champion Health Belief Model Scale plus other associated factors for mammography screening up-take were also included as part of the questionnaire. Predictors for mammography screening uptake were only determined in those who were aware about mammography screening. Significant predictors were determined by logistic regression. Results: 447 women were recruited for this study; 99.1% of them (n: 411) were aware about breast cancer. Only 50.1% (n: 206) had knowledge about mammography screening. Prevalence of clinical breast-examination (CBE) was 23.3% (n: 104) and mammography screening up-take was 13.2% (n: 59). The predictors for the latter were those who have had clinical breast-examination (aOR=17.58, 95%CI: 7.68-39.82) and those aged between 50 to 59 years (aOR=3.94, 95%CI: 1.61-9.66) as well as those aged 60 years and above (aOR=6.91, 95%CI: 2.28-20.94). Good knowledge and positive beliefs about mammography screening were not associated with mammography screening uptake. Conclusions: Half of our Malaysian women were aware about mammography screening. However, the uptake of mammography was low. Previous CBE and older age were significant predictors of mammography screening uptake. Increasing CBE services may increase compliance with guidelines. |
| Databáze: | OpenAIRE |
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